Individual
DIANE GUADARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
835 MAIN ST, HACKENSACK, NJ 07601
(201) 488-8599
(201) 488-4953
Mailing address
835 MAIN ST, HACKENSACK, NJ 07601
(201) 488-8599
(201) 488-4953
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD2455
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7695101
—
NJ
Enumeration date
03/29/2006
Last updated
07/30/2010
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